The information contained in this application is correct to the best of my knowledge. I authorize any references listed in this application to give you information and opinions they may have regarding my character for children's work.
Should my application be accepted, I agree to be bound by the lifestyle agreement, practice and policies of this church, and to refrain from any unscriptural conduct in the performance of my services on behalf of the church.
I understand that the church does not provide any insurance or legal representation to me in the event that I am personally accused of any sexual abuse or misconduct.
This statement should be signed and dated by the applicant: